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Individual

SHARON SINCERE FENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
5810 EXCELSIOR BLVD, C/O SPINE CARE, PA., ST LOUIS PARK, MN 55416
(612) 998-7911
(952) 927-8687
Mailing address
2201 LONG PRAIRIE RD, SUITE 107320, FLOWER MOUND, TX 75022-4832
(612) 998-7911
(972) 692-8673

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225700000X
MASSAGE THERAPY
MN
Enumeration date
03/19/2007
Last updated
02/15/2011
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